california
Forum Senior
Topics: 56
Posts: 77
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1. An 8 year old boy from an impoverished inner city has never been vaccinated appropriately. He develops fever, cough and coryza. The next day, blue white spots develop on the buccal mucosa. On the third day, an erythematous, non pruritic maculopapular rash develops on the face and spreads over the entire body. The most likely complication is
a. pneumonia
b. encephalitis
c. otitis media
d. bronchitis
e. mastoiditis
2. Prior to mass vaccination for this disease, delayed neurologic effects could result in
a. meningitis
b. pure motor paralysis
c. autonomic neuropathy
d. dementia
e. stocking glove peripheral neuropathy
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| mesh
Forum Guru
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1 C
2 A???
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| chemamr
Forum Hero
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c, a?
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| DrS
Forum Elite
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a. pneumonia
d. dementia (SSPE - sub acute sclerosing panecephalitis)
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| Jinx
Forum Elite
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Posts: 316
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agree with 1st answer
what abt second??
The onset of the illness is insidious, the first signs are behavioural disturbances or a decline in school performance. Not infrequently the family are told that the cause is “psychological”. Progression of the illness will vary from child to child but evidence that this is a more serious illness usually begins with loss of motor control and co-ordination. This often starts with characteristic jerking movements which may at first appear as clumsiness. These jerking movements are known as myoclonic seizures. Grand mal (also called tonic-clonic) seizures may also occur. As the condition worsens problems with swallowing and speech develop, and vision may be impaired.
so we could have any sort of neurodefecit--then which to chhose n why??
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| msyamp
Forum Fanatic
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Posts: 1,462
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first answer is OTITIS MEDIA
second answer is DEMENTIA. it cause encephalitis 1 in 10000 but not meningitis
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